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Home My WebLink AboutPeter Arellano - Form 700 - Annual 2012A CALIFORNIA FORm 700 STATEMENT OF ECONOMIC INTERESTS xy ' i . POLITICAL FAIR AP@ 2013 A PUBLIC DOCUMENT COVER PAGE C(7'd CLERKS G l'io Please type or print in ink NAME OF FILER _ I I (LAST) (FIRST) — (MIDDLE) T 1. Office, Agency, or Court - Agency NamI; Ctv) Division, Board,itepartment, District, if,;applicable Your Position t it l ► If ftling for multiple positions, list below or on an altadi ant. Agency: r,; .^ � % "I �ti" // Position: `� J /I/' /?1 �n-� -J _ 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County E] County of City of t0° ' ;�`� ❑ Other 3. Type of Statement (Check at least one box) Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left —J —J December 31, 2012. (Check one) -or. The period covered is through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office, ❑ Assuming Office: Date assumed O The period covered is through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: q [r S hedule A•1 - Investments - schedule attached Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule A•2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached [Pr 'Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or. E] None • No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) .7 ;r/ K"? 'r "7 1 S-4- C, �, w 917 2-- (Si7F-) G2 /— G%` - / /.— I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I acknowledge this is a public document. I certify under penalty of perjury under the laws of the State of California that the foregoing tru c lect. Date Signed J6 4.3 Signature-_ (month, day, year) (file the onginally Signed Statement r410 ycuraing offeat) FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov, FPPC Toll -Free Helpline: 866/275 -3772 www.Pinc.ca.gov SCHEDULE A -1 i 700 Investments FAIR POLITICAL PRACTICIES COMMISSION Stocks,. Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. ► NAME OF RI ICINPee 11 -1.... GENERAL DESCRIPTION OF BU INESS ACTIVITY G FAIR MARKET VALUE ❑ $2,000 - $10,000 xr$10,001 - $10Q000 ❑ $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT ❑ Stock [Other. , L i i (De aibe) ❑ Partnership O Income Received of $0 - $499 Q Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: /COI ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 , NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule q IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 12 ACQUIRED DISPOSED Comments: ► NANIE Uh UUSINESS LN I I I Y GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► (NAME OF BUSINESS LN IITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership Q Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _ /_/ 12 ---/—_J_12 ACQUIRED DISPOSED ► NANIL OF BUSINESS ENIIIY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 12 ACQUIRED DISPOSED FPPC Form 700 (2012/2013) Sch. A -1 FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS -4 /012 PO -p I -OL CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 - / -) 12 _-J---J-12 X$100,001- $1,000,000 ACQUIRED DISPOSED ❑ Over $1,0001000 NATURE OF INTEREST 9Ownership /Deed of Trust ❑ Easement E] Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% Or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE ❑ $2,000 - $101000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OFINTEREST ❑ Ownership /Deed of Trust IF APPLICABLE, LIST DATE: _ /_/ 12 _ /_/ 12 ACQUIRED DISPOSED ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE ❑ None TERM (Months /Years) HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE ❑ None TERM (Months /Years) HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 (2012/2013) Sch. B FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAMjE OF SOURCE OF INCOME �Q� / ,f/ ✓dl � Y ,4. Y9 n "t, b'�-jir( " / //J 0 Y 7 3Zi'lY.•O' ADDRESS •(1BusinessnAddress Acceptable) T!� •L.. � Lt`t�/�C ra O f.rT tJfld /1+.. i/YT -�iJ BUSINESS ACTIVITY, IF ANY, F SOURCE M el'-1 «d YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 'OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED i Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car, boa! etc) ❑ Commission or ❑ Rental Income, fist each source of $10,000 or more ❑ Other NAME OF SOURCE OF INCOME (Business Address Acceptable] BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property car, boa(, etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other Ill 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD ' You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE: DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 Comments: INTEREST RATE TERM (ManthslYears) ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Street address ❑ Guarantor ❑ Other cay FPPC Form 700 (2012/2013) Son. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 1275 -3772 www.fppc.ca.gov